It is the surgery of the nose which involves correction of the septum and correction of external deformity to have the normal breathing and cosmetic pleasing nose.
Yes there are two approaches of rhinoplasty exposure. One is closed approach in this the incision are given inside the nose but the exposure is limited. If we are doing open approach there will be a small columellar scar which is not visible but exposure to nasal anatomy is good . Now a person going for rhinoplasty who is concerned with result should not be bothered by the inconspicuous scar in the columella.
Definitely the overlying skin makes a difference in the result but planning is important so patient with thick skin are given extra care in augmentation as the result is depend on the height and fine work is not very visible and they require lot of cartilage. The result is satisfactory and nowadays we are giving isotretenoin to decrease the thickness of skin and results have definitely improved.
Ideally we prefer to give general anaesthesia as it is comfortable for the patient. It is very safe and is given by a board certified anaesthesiologist. The anaesthesia is given by I.V drugs and then patient is intubated . Once the surgery is finished the patient comes to conscious immediately
Sometimes we use local anaesthesia for tip work. In this we are using the local injection to block the nerves and sometimes we give iv sedation to comfort the patient.
Once survey is done the result are immediate but next day swelling occurs and it takes about 2 months to have good result and the result will keep on improving for next 4 to 6 months
Yes breathing will definitely improve if you have problem before for in rhinoplasty we are correcting the septum as well as all the nasal valve so the breathing improve. Nowadays it is call nasal framework correction. Dr. Gambhir is trained in both the septal framework correction and nasal framework correction so the cosmetic and functional aspect of nose is corrected at the same time.
Normally we prefer that after one rhinoplasty procedure you should wait at least one year before the next surgery as result improve with time and also the tissue get softened so that they can be manipulated in better way. For revision rhinoplasty dr. Gambhir is best as his experience is very vast in this field.
We prefer to do cosmetic rhinoplasty in female at age above 15yrs and in male above 16 yrs as the nose is in growing phase before then. In case the patient has severe functional breathing problem we can operate at 12 to 13 yrs of age.
Normally in younger age group it give good result but above 60years of age the healing is slow and cosmetic results are not good . These patient because of ageing skin may develop functional problem they definitely require rhinoplasty.
Normally after full cosmetic rhinoplasty there is a small bandage over the nose and slight bruising under the eyes. This normal is there for 1 week so patient having desk job can go back to work after this and those who have physical activity will require additional 1 week. Strenuous exercises are to be avoided for at least 4 weeks.
As with any surgery, there are risks, including an allergic reaction to the anaesthetic. Specifically, penis enlargement carries the following risks and side effects:
- swelling, bruising and mild discomfort usually occur
- sensation may be altered or completely lost
function may be altered
- erections may become more horizontal than vertical
- delayed wound healing and/or poor scarring may occur
- bleeding may occur and should blood collect (a hematoma), this may require further surgical treatment
Nicotine intake associated with smoking causes constriction of blood vessels. As a result of this constriction lesser blood flow to the damaged tissue occurs and chances of scarring increase. Smokers undergoing this surgery may actually lose a skin portion due to decreased oxygen flow within the skin because of nicotine. In turn, the decreased skin oxygen levels due to carbon monoxide may result in dead skin. However, these risks may be greatly reduced if the patient quit smoking before ( at least two weeks ahead) the surgery and does not resume the habit until healing process is complete.
With respect to the results of these procedures, there are no guarantees with respect to the final size and lengthening without a widening procedure may make the penis look thin. Penis shape cannot be assured with a widening process. The healing process takes time and the final result will not be readily visible for many months but sometimes, revisions may be necessary.
It is highly recommended that you take two weeks off minimum, and then slowly reintegrate yourself back to normal life. Avoid sexual intercourse and heavy sports and activities for at least 4-8 weeks.
Even after free-fat transfer, it is best to give the new cells at least 3-4 weeks to heal and early sexual activity might cause them to shift to an unwanted location.
This procedure is normally performed by a plastic surgeon or a urologist.